NSG 120 Pathophysiology Final Exam (Herzing- kenosha) Questions and Answers
Chlamydia S/S Most common STI in US. major cause of sterility and leading cause of PID
Often asymptomatic
men--> urethritis, thin water discharge with burning and itching, scrotal swelling
women--> urethritis, cervicitis, dysuria, yellow vaginal discharge with burning/itching, abdo
pain, and dyspareunia (painful intercourse)
Gonorrhea 2nd most common STI; infxn of urinary tract.
asymptomatic, purulent discharge, dysuria
Males: prostatitis, epididymitits.
Females: PID and infertility, conjunctivitis in neonates
Trichomoniasis s/s Protozoal infxn--vaginal in women and urethral in men.
- asymptomatic
- urethritis, dysuria and itching, women: discharge
,Chlamydia treatment and prevention Treatment: Azithromycin and other antibiotics
Prevention: Safe sex and absitnence
Gonorrhea treatment and prevention Treatment: Antibacterial drugs (penicillin or
ceftriaxone + doxycycline) Some drug-resistant strains Retest for eradication
-Ophthalmia neonatorum prevented by prophylactic treatment of eyes of all newborns within 1
hour
-Required by law in U.S.
Trichomoniasis treatment Metronidazole (Flagyl)
Gonorrhea prognosis Good with prompt diagnosis and treatment.
chlamydia prognosis -good with early treatment
-if untreated: PID, infertility in females; epididymitis in males, sterility in both
endometriosis a condition in which patches of endometrial tissue escape the uterus and
become attached to other structures in the pelvic cavity
Endometriosis Signs and Symptoms Dysmenorrhea with pain in lower back and vagina.
, Infertility
Severity of pain is not indicative of extent of the disease.
Dyspareunia, dysuria, and sometimes painful defecation.
breast cancer prevention diet, exercise, maintaining healthy body weight, pregnancy and
breastfeeding decisions, routine screenings--esp for women with a family history
Hormones and Menstrual Cycle - After menses, FSH is secreted and causes ovarian
follicle to mature. The follicle secretes estrogen, which thickens uterine lining.
•Mid-way through the cycle, LH levels greatly increase and cause ovulation
•The ovarian follicle increases progesterone production to help the uterus to prepare for a
potential implantation of a fertilized ovum.
•If no fertilization, estrogen and progesterone levels drop and the uterine lining degenerates,
resulting in menstruation.
Chlamydia S/S Most common STI in US. major cause of sterility and leading cause of PID
Often asymptomatic
men--> urethritis, thin water discharge with burning and itching, scrotal swelling
women--> urethritis, cervicitis, dysuria, yellow vaginal discharge with burning/itching, abdo
pain, and dyspareunia (painful intercourse)
Gonorrhea 2nd most common STI; infxn of urinary tract.
asymptomatic, purulent discharge, dysuria
Males: prostatitis, epididymitits.
Females: PID and infertility, conjunctivitis in neonates
Trichomoniasis s/s Protozoal infxn--vaginal in women and urethral in men.
- asymptomatic
- urethritis, dysuria and itching, women: discharge
,Chlamydia treatment and prevention Treatment: Azithromycin and other antibiotics
Prevention: Safe sex and absitnence
Gonorrhea treatment and prevention Treatment: Antibacterial drugs (penicillin or
ceftriaxone + doxycycline) Some drug-resistant strains Retest for eradication
-Ophthalmia neonatorum prevented by prophylactic treatment of eyes of all newborns within 1
hour
-Required by law in U.S.
Trichomoniasis treatment Metronidazole (Flagyl)
Gonorrhea prognosis Good with prompt diagnosis and treatment.
chlamydia prognosis -good with early treatment
-if untreated: PID, infertility in females; epididymitis in males, sterility in both
endometriosis a condition in which patches of endometrial tissue escape the uterus and
become attached to other structures in the pelvic cavity
Endometriosis Signs and Symptoms Dysmenorrhea with pain in lower back and vagina.
, Infertility
Severity of pain is not indicative of extent of the disease.
Dyspareunia, dysuria, and sometimes painful defecation.
breast cancer prevention diet, exercise, maintaining healthy body weight, pregnancy and
breastfeeding decisions, routine screenings--esp for women with a family history
Hormones and Menstrual Cycle - After menses, FSH is secreted and causes ovarian
follicle to mature. The follicle secretes estrogen, which thickens uterine lining.
•Mid-way through the cycle, LH levels greatly increase and cause ovulation
•The ovarian follicle increases progesterone production to help the uterus to prepare for a
potential implantation of a fertilized ovum.
•If no fertilization, estrogen and progesterone levels drop and the uterine lining degenerates,
resulting in menstruation.
